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u'��'�gr�` C"'�(��STRlJCTION �� <br />GTY OF <br />�ver�tt PERMIT PERIIMITNO. �75�2 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILD' O MECHANICAL ❑ PLUMBING ❑&IGN <br />OWNEF Mnil A� RESS ! "'ITV ZIP P <br />CRONIN CUSTOM HOhtES 713 SE �verett Mu�� 41y E��erFtt WA 98204 353-6500 ��`�NII214D8 <br />ARCHIT[C10RDEdGNF.fl MAILAOOPE55 CITY ZIP PMONE <br />GENFPALCONTIIACTOR MAILADDRESS CiTY 21P PMONE LICENSEM <br />Same <br />MECMANICALCONTRhCTOR MAILAOORE55 pTY ZIP PHONE LICFNSE� <br />PLUMDING <br />MAIL A��FE55 <br />� NEV/ ❑ aDDITION ❑ ALTERATION <br />UTr Zi� <br />❑ REPAIR ❑ DENOL{iION <br />S iO,OOO.00 <br />cnie[ woAK <br />(�ew single family residence - Basic Buckingham with offset yarage <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />�OSEO 115i UF tlUiwirvp <br />Single family residnece <br />12 Mt. View #5 <br />LOT _ BLOCK _ OP <br />�e noorvess <br />9003 - 9th Ave SE <br />PLUMBING <br />NO. TVPE OF FI%TURE OR <br />3 WATER CLOSET �TOILET� <br />� BA7HTUB <br />3 LAVATORV�WASH6ASW) <br />� SHOWER <br />� KITCHEN SINK 8 DISP. <br />� �ISHWASHER <br />LAUNOFYTRAV <br />� CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />BACKFLOW PFEVENTE <br />FOOF DRAINS — RAWI <br />SINK �SERVICE — BAR. <br />SU9TOTAL <br />PEflM1T <br />TOTALFEE <br />i I �n� <br />TVPE OF <br />Si2E OF oLDG <br />APPL�CATIONACC �Y <br />sg <br />PMONE LIGENSE � <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION <�ND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRGVISIONS OF LAWS AND ORDINANCES <br />GC�VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WIiETHER SPECIFIED HEREIN OR NOT. lHE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLMT.E OR CANCEL THE PROVIS�ONS OF ANY OTHER <br />STATE ('i7 LOCAL LP.W REGULATING CONSTRUCTION OR <br />THE PEF FORMANCE OF CONSTRUCiION. <br />SIGNATUPE OF CONTPACTO�P AU 0 IZED AGENT. OR OWNEN OAiE <br />X/%�c � �_._,�— � 1– / 7– <br />FEE NO. TYPE OF EOUIPMENT <br />� 5 OO A/C — n/HNDLG UNIT� — H.P. _ <br />5 OO REFRIGERA710NUNITS—HP.Ed. <br />�5 OO BOILERS—B.T.U/HP. <br />5 QQ GAS FIRED A�Q UNITS — 6.T.U. <br />5 OO FORCED AIP SYSTEMS — B T,U. M EA. <br />S OO H'ALL HEATERS — B T.U. M <br />UNIT HEATERS — B.T.U. M <br />5 OO EVAPORATIVE COOLEHS <br />� CLOTHESDRYERS <br />G VENTILATION FAN <br />� flANGLHOOD <br />� WATERHEA'iEF <br />WOODSTOVE <br />A1ETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEPT PUtdP <br />GAS PIPW� <br />E%HAUST�AN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />� PLAN CHECK NUMBER FEE <br />' 86/17522 Basic <br />`�' �'"� V/+CANTSITE <br />82c� � f flYES ❑NO <br />J -h <br />OCLUPANCYGROUP NOOFOWELLiNGUNiiS <br />R-3 1 <br />N0. OF STOAIES MP% OCC. LOFO <br />2 <br />) O YES I� NO <br />PLANSCHECKc�DY RPPF iORI55UANCEOY <br />be lc <br />FEE <br />RECEIPT NO. <br />FEE <br />BUILDING ? � - . , q; ,�pM pODRkt'. <br />PLUMBING � <br />MECHANICAL �` J�� ��'j SD <br />INVESTIGATIONFEE j��'.(��le) :SS.CO <br />M l; � � .., <br />STATE 3UILDING SURCHARGE T�.. 41 S <br />STATE ENERGV SURCHARGE E �j�'CH ' iS.00 <br />DRIVEWAYPERMIT �' W� � �— <br />) 00 <br />TOTAL SEWER ��'0.00 <br />PERMITVALIOATION Yi"Ul 1 �-'" • <br />WHEN Pf70PERLV VAII�ATED pN THI�SPACE�jTH19jl�"�B��EFMIT <br />�i��l��)5�74� <br />e1Pr7'tF, ::.6;1,0i_i <br />�;G� �_. ; FIL- <br />�� <br />50 <br />